0001118417-21-000158.txt : 20211117 0001118417-21-000158.hdr.sgml : 20211117 20211117203931 ACCESSION NUMBER: 0001118417-21-000158 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211115 FILED AS OF DATE: 20211117 DATE AS OF CHANGE: 20211117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lyon Christopher CENTRAL INDEX KEY: 0001773390 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35840 FILM NUMBER: 211422315 MAIL ADDRESS: STREET 1: C/O MODEL N, INC. STREET 2: 777 MARINERS ISLAND BLVD, SUITE 300 CITY: SAN MATEO STATE: CA ZIP: 94404 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MODEL N, INC. CENTRAL INDEX KEY: 0001118417 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370] IRS NUMBER: 770528806 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 777 MARINERS ISLAND BOULEVARD STREET 2: SUITE 300 CITY: SAN MATEO STATE: CA ZIP: 94404 BUSINESS PHONE: (650) 610-4600 MAIL ADDRESS: STREET 1: 777 MARINERS ISLAND BOULEVARD STREET 2: SUITE 300 CITY: SAN MATEO STATE: CA ZIP: 94404 FORMER COMPANY: FORMER CONFORMED NAME: MODEL T1 INC DATE OF NAME CHANGE: 20001031 FORMER COMPANY: FORMER CONFORMED NAME: MODEL N INC DATE OF NAME CHANGE: 20000707 4 1 wf-form4_163719954071359.xml FORM 4 X0306 4 2021-11-15 0 0001118417 MODEL N, INC. MODN 0001773390 Lyon Christopher C/O MODEL N, INC. 777 MARINERS ISLAND BLVD, SUITE 300 SAN MATEO CA 94404 0 1 0 0 Chief Revenue Officer Common Stock 2021-11-15 4 A 0 31666 0 A 119237 D Common Stock 2021-11-15 4 A 0 20777 0 A 140014 D Common Stock 2021-11-15 4 A 0 12222 0 A 152236 D Common Stock 2021-11-15 4 A 0 3874 0 A 156110 D Common Stock 2021-11-16 4 S 0 1051 32.37 D 155059 D Common Stock 2021-11-16 4 S 0 839 32.37 D 154220 D Common Stock 2021-11-16 4 S 0 739 32.37 D 153481 D Common Stock 2021-11-16 4 S 0 275 32.37 D 153206 D Common Stock 2021-11-16 4 S 0 553 32.37 D 152653 D Issuable upon the vesting of Restricted Stock Units ("RSUs"). 6.25% of the RSUs will vest on each quarterly anniversary of the vesting commencement date until such time as the RSUs are 100% vested, subject to the continuing employment of the Reporting Person on each vesting date. Shares of the Issuer's common stock will be delivered to the Reporting Person upon vesting. Issuable upon vesting and satisfaction of certain performance criteria of Performance-Based Restricted Stock Units ("PB-RSUs"). Subject to the achievement of certain minimum performance criteria based upon total stockholder return, between a minimum of 0% and a maximum of 200%, the PB-RSUs will vest as to 50% on each of the second and third annual anniversary of the vesting commencement date until such time as the PB-RSUs are 100% vested, subject to the continuing employment of the Reporting Person on each vesting date. Shares of the Issuer's common stock will be delivered to the Reporting Person upon vesting if the performance criteria have been met. Issuable upon the vesting of Restricted Stock Units ("RSUs"). 50% of the RSUs will vest on each of the second and third annual anniversary of the vesting commencement date until such time as the RSUs are 100% vested, subject to the continuing employment of the Reporting Person on each vesting date. Shares of the Issuer's common stock will be delivered to the Reporting Person upon vesting. Issuable upon the vesting of Restricted Stock Units ("RSUs"). 100% of the RSUs vested on November 15, 2021. Shares of the Issuer's common stock were delivered to the Reporting Person upon vesting. All shares reported as disposed of in this transaction were sold by the Reporting Person in order to pay the federal and state tax withholding obligations resulting from the vesting of the Reporting Person's Restricted Stock Units ("RSUs") and/or performance-based RSUs. The Reporting Person did not sell or otherwise dispose of any of the shares reported in this transaction for any reason other than to cover required taxes. Reflects a decrease of 313 shares of unvested Performance-Based RSUs ("PB-RSUs") that were cancelled due to the achievement of 64.9% of certain performance criteria related to PB-RSUs granted to the Reporting Person on November 22, 2019. /s/ Christopher Lyon by Errol Hunter, Attorney-In-Fact 2021-11-17